WAL-MART STORES EAST, LP
NPI: 1235212929
· CLEVELAND, MS 38732
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
399 |
$3K |
| 2019 |
563 |
$9K |
| 2020 |
350 |
$9K |
| 2021 |
729 |
$16K |
| 2022 |
868 |
$15K |
| 2023 |
535 |
$9K |
| 2024 |
361 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,522 |
2,203 |
$44K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
730 |
642 |
$12K |
| V2100 |
Lens spher single plano 4.00 |
507 |
481 |
$11K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
20 |
12 |
$215.00 |
| V2750 |
Anti-reflective coating |
26 |
26 |
$109.00 |